汉化版Neonatal/Infant Braden Q Scale在NICU新生儿压力性损伤风险评估中的应用

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摘要目的：引进翻译美国Neonatal/Infant Braden Q Scale（N/I Braden Q量表）并检验量表信效度。方法：根据Brislin翻译模型对N/I Braden Q量表进行翻译、回译，通过专家咨询对量表进行文化调适。再将量表应用于浙江省某三级甲等医院NICU住院新生儿进行皮肤评估，检验中文版N/I Braden Q量表的信效度。结果：中文版N/I Braden Q量表的评定者间信度系数ICC为0.908（P＜0.001）；量表的全体一致性S-CVI为0.75，均值S-CVI为0.9583，各条目的内容效度指数为0.83～1；量表的预测临界值为20分，其灵敏度、特异度、阳性预测值、阴性预测值、约登指数分别为75.00%、74.16%、28.13%、95.62%、0.4916，ROC曲线下面积是0.815（95%CI：0.684～0.945）（P＜0.001）。结论：中文版N/I Braden Q量表具有良好的信效度，对新生儿压力性损伤发生有早期预警作用，可作为临床护士对患儿进行皮肤评估的结构化指导工具。

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	吴玉洁
	鲁萍
	吕俊英
	宋霏
	张双红
	张丽萍

关键词 ：压力性损伤, 重症监护病房, 新生儿, 工具, 信度, 效度

Abstract：Objective: To introduce and translate the US Neonatal/Infant Braden Q Scale (N/I Braden Q scale) into Chinese version, and test the reliability and validity of the scale. Methods: The N/I Braden Q scale was translated according to the Brislin translation model and cross-cultural adaptation using the Delphi technique. Then, the scale was applied to the NICU hospitalized newborns for skin condition assessment in one Grade A hospital of Zhejiang Province, and the reliability and validity of the scale in the Chinese context were tested. Results: Inter-rater reliability coefficient of the scale was 0.908 (P<0.001). The overall consistency of the scale was 0.75, the mean S-CVI was 0.9583 and the item-level content validity index was 0.83~1. The predicting cut-off point of the scale is score 20, showing a sensitivity of 75.00%, specificity of 74.16%, positive predictive value of 28.13%, negative predictive value of 95.62%, Yoden index of 0.4916 and receiver operating characteristic curve was 0.815 (95%CI: 0.684-0.945) (P<0.001). Conclusion: The Chinese version of N/I Braden Q scale has good reliability and validity, and has an early warning effect on the occurrence of neonatal PI. It can be used as a structured guidance tool for clinical nurses to conduct skin assessment on children.

Key words： pressure injury intensive care unit, neonatal tool reliability validity

收稿日期: 2019-01-15

基金资助:温州市科技计划项目（2018Y0427）。

通讯作者: 张丽萍，主任护师，Email：zlp80090@126.com。

作者简介: 吴玉洁（1995-），女，浙江平阳人，硕士生。

链接本文:

https://xb.wmu.edu.cn/CN/ 或 https://xb.wmu.edu.cn/CN/Y2019/V49/I7/538

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